CVC catheter problems: Difference between revisions
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===Site-Specific=== | ===Site-Specific=== | ||
*SV and IJ | |||
**Pneumothorax | |||
**Hemothorax | |||
**Hydrothorax | |||
**Chylothorax | |||
**Neck hematoma/tracheal obstruction | |||
**Endotracheal cuff perforation | |||
**Tracheal perforation | |||
**Phrenic nerve injury | |||
**Brachial plexus injury | |||
**Cerebral infarct | |||
*Femoral | |||
**Bowel perforation | |||
**Psoas abscess | |||
**Bladder perforation | |||
==External Links== | ==External Links== | ||
Revision as of 18:19, 6 March 2020
Background
Central venous catheter complications vary by site. Subclavian lines are more commonly associated with pneumothorax and have a higher risk of bleeding because the site is noncompressible, whereas femoral and internal jugular lines have a higher risk of infection.[1]
Complications
Mechanical
- Arterial puncture
- Hematoma formation
- Air embolus
- Pneumothorax/Hemothorax
- Pericardial tamponade
- Catheter embolus
- Dysrhythmias
- Catheter malposition
Infectious
- Bacteremia
- Sepsis
- Cellulitis at insertion site
Thrombotic
- Pulmonary embolus
- Venous thrombosus
Site-Specific
- SV and IJ
- Pneumothorax
- Hemothorax
- Hydrothorax
- Chylothorax
- Neck hematoma/tracheal obstruction
- Endotracheal cuff perforation
- Tracheal perforation
- Phrenic nerve injury
- Brachial plexus injury
- Cerebral infarct
- Femoral
- Bowel perforation
- Psoas abscess
- Bladder perforation
External Links
References
- ↑ Parienti JJ, Mongardon N, Mégarbane B, et al. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med. 2015;373(13):1220–1229. doi:10.1056/NEJMoa1500964